ALEXANDRA CONNER PA
NPI 1417265075
Physician Assistant in Portland, OR

Active since September 16, 2010PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
10803 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216(503) 261-7210 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Conner Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA CONNER PA (NPI 1417265075) is an individual physician assistant in Portland, Oregon and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417265075
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA CONNERCredential: PA
Location Address10803 SE CHERRY BLOSSOM DRPortland, OR 97216-3107
Mailing Address10803 Se Cherry Blossom DrPortland, OR 97216-3107
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 16, 2010
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
NPI 1417265075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10803 SE CHERRY BLOSSOM DR, Portland, OR 97216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexandra Conner Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406044171
PECOS Enrollment IDI20101222000060
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
23 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Family Medicine
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Physician Assistant
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Family Medicine
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Family Medicine
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Family Medicine
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Physician Assistant
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Family Medicine
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Conner's NPI number?

The NPI number for Alexandra Conner is 1417265075. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Alexandra Conner located?

Alexandra Conner practices at 10803 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 261-7210.

What is Alexandra Conner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Conner enrolled in Medicare?

Yes. Alexandra Conner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alexandra Conner affiliated with any hospitals?

According to CMS data, Alexandra Conner is affiliated with Providence Newberg Medical Center, Providence Willamette Falls Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Alexandra Conner was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.